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Urethral injury is damage to the tube that carries urine from the bladder out of the body. It often occurs due to trauma such as pelvic fractures, straddle injuries, or iatrogenic causes like catheterization. Symptoms typically include blood at the urethral opening, blood in urine, difficulty or inability to urinate, pain during urination, and bruising of the genital area. Diagnosis is commonly made by retrograde urethrography, an imaging test that uses contrast dye to detect urethral tears or narrowing.

Treatment depends on injury severity and location. Minor injuries may be managed conservatively with catheter drainage, while severe injuries often require surgical repair. Complications include urethral stricture (narrowing), infection, erectile dysfunction, and incontinence. Early diagnosis and appropriate treatment are essential to prevent these outcomes. Follow-up care with a urologist is critical to monitor healing and manage any complications that arise after treatment.